| NPI | 1790820074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301014241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009350) |
| 103K00000X Behavior Analyst (Licence: MI 7401000870) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-07-15 |